Active NPI
Gary Stout
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1346599164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7097
- Practice address
- 101 Fetlock Drive
Myrtle Beach, SC 29588 - Phone
- (843) 236-6300
- NPI assigned
- Sep 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7097 | SC | Primary |
Addresses
Primary practice location
101 Fetlock Drive
Myrtle Beach, SC 29588
Mailing address
101 Fetlock Drive
Myrtle Beach, SC 29588
Phone (843) 236-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7097 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1346599164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FETLOCK DRIVE",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29588",
"telephone_number": "843-236-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FETLOCK DRIVE",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29588",
"telephone_number": "843-236-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "7097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
- Lori Nicole Stogner, PA-C
- Kaitlin Patterson Stone, DNP
- Stonehaven Realty Properties
- Amber Brooke Story
- Pamela Stoshak, MSPT
- Victoria Rosalyn Stout, COTA/L
- Strand Anesthesia, PC
- Strand Endocrinology,LLC (Strand Endocrinology and Osteoporosis Center)
- Strand Gastrointestinal Endoscopy Center
- Strand Gi Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.